| Monumental Behavioral Health Inc | |
|
1201 N Post Rd Ste C Indianapolis IN 46219-4246 | |
| (317) 405-8333 | |
| (317) 672-2398 |
| Full Name | Monumental Behavioral Health Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1201 N Post Rd Ste C, Indianapolis, Indiana |
| Authorized Official Name and Position | Robert Mochek (OWNER) |
| Authorized Official Contact | 3173701254 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monumental Behavioral Health Inc 1201 N Post Rd Ste C Indianapolis IN 46219-4246 Ph: (317) 405-8833 | Monumental Behavioral Health Inc 1201 N Post Rd Ste C Indianapolis IN 46219-4246 Ph: (317) 405-8333 |
| NPI Number | 1295205615 |
|---|---|
| Provider Enumeration Date | 11/28/2018 |
| Last Update Date | 04/17/2019 |
| Medicare PECOS PAC ID | 7416282611 |
|---|---|
| Medicare Enrollment ID | O20190710002526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295205615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Michael S Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356674105 PECOS PAC ID: 2365619178 Enrollment ID: I20120119000391 |
| Provider Name | Stephen K Kimani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023059078 PECOS PAC ID: 1951562420 Enrollment ID: I20120410000064 |
| Provider Name | Roger W Perry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942491832 PECOS PAC ID: 5991058505 Enrollment ID: I20181030000134 |
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